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Cindy Roberts

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To solve the Black maternal mortality crisis, start with upending racist practices

Laurie Udesky ·
It’s been all over the news for months: Black women in the United States are dying from complications during their pregnancies or in childbirth at alarming rates, and those deaths are preventable. Less well explored is how systemic racism and historical trauma have been at the core of what’s driven up these rates over several decades. A March 20 conference entitled The Impact of ACEs on Black Maternal Health took an in-depth look into why Black maternal mortality and complications during...
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Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment

Jeoffry Gordon ·
Criticizing ACEs in Peer Reviewed Professional Journals Impairs Child Abuse Treatment Jeoffry B. Gordon, MD, MPH May 23, 2021 As a family doc practicing in San Diego I was privileged to hear Dr. Vincent Felitti talk about his inspired development of the ACEs questionnaire and its association with many adult mental and physical diseases directly from him only a few years after his original insight. Yet, although I had a lively clinic and learned how to manage a vast array of medical...
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PACEs Connection presents the "Historical Trauma in America" series

PACEs Connection's Race & Equity Workgroup will be examining historical trauma in the United States of America and its impact on American society in a series of virtual discussions. This series will highlight each unique region within the United States and outline how unresolved historical trauma has impacted every aspect of American life and directly shapes the socio-political landscape of today as well as the overall well-being of Americans. Discussions will make connections between...
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2011-2021—A decade of steady growth in ACEs and TI laws and resolutions in the states

In 2019 and 2020, dozens of states enacted nearly 60 laws and resolutions that reference adverse childhood experiences or trauma. In this post, there's an interactive map that shows them all.
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Pair of reports guides treatment of patients struggling with effects of trauma [aappublications.org]

By Heather C. Forkey and James H. Duffee, American Academy of Pediatrics, July 26, 2021 The COVID-19 pandemic and our nation’s racial reckoning have given new visibility to trauma and its impact on children. Even before the pandemic, it was understood that the most fundamental threats to health have their roots in adversities experienced by children without sufficient buffering of a caregiver. Behavior, development, relationships and physical health can be affected for a lifetime due to the...
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The best way to start any meeting. Ever.

Carey Sipp ·
Following a brief mindfulness check-in, PACEs Connection staff meetings begin with the review of our Vision, Mission, and Values statements, as well as our Equity and Inclusion Statement. At a recent meeting, top row, L-R, Ingrid Cockhren, Carey Sipp, Donielle Prince, Jane Stevens. Middle row, L-R, John Flores, Porter Jennings-McGarity, Jenna Quinn, Gail Kennedy. Bottom row, L-R, Rafael Maravilla, Natalie Audage, Alison Cebulla, Samantha Sangenito. A couple of times last week I felt my body...
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** NCTSN September 2021 Spotlight ** [mednet.ucla.edu]

Natalie Audage ·
While natural disasters can strike at any time with very little warning, families and communities can take steps to prepare in the event that a disaster does occur. With the devastation caused by ongoing events (hurricanes, flooding, wildfires, COVID-19) across the nation, this reaffirms the need for disaster preparedness. Our thoughts are with the families, children, and communities who have been affected by these disasters. The National Child Traumatic Stress Network (NCTSN) has resources...
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ACEs, Sugar Addiction, and Weight Gain by Dr. Felitti & Dr. Alman

Brian Alman ·
In many cases, sugar addiction (just like other forms of addiction) can be linked to ACEs. When adverse childhood experiences go unresolved, sugar is easily accessible and can provide a temporary pressure relief valve from toxic stress. Sometimes, this way of coping is unconscious because the sugar-eating habits are reinforced by the brain’s altered hardwiring that craves that next dopamine hit. Then, there's the weight gain...
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Traumatic Incident Reduction Facilitator Online Training / 4-day Workshop

ONLINE 4-DAY WORKSHOP November 6th, 7th, & 13th, 14th 10 a.m.- 6:00 p.m. PST, includes lunch break Workshop Objectives Understand theory of the traumatic network and consequences of traumatic incidents Understand the theory + practice of TIR Assess a client’s readiness for TIR Apply TIR techniques successfully Understand how triggering affects clients everyday lives Increase rapport with clients Outline : Day 1: Intro to TIR, theory, research, application Day 2: Learning and practicing...
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Re: A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)

Jeoffry Gordon ·
It is really challenging to understand the vociferous rejection of powerful, effective, well proven medical therapies like vaccines even when your children are thus made vulnerable and even when people around you are getting ill and even dying. This obviously not a logical, rational process. Medicine and public health are to be faulted for trying to motivate a change in these attitudes by just repeating established clinical data. This post has a cogent and interesting analysis which adds to...
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Re: A Trauma-Informed Approach to Vaccine Hesitancy (Sign On Letter Attached In First Line)

Jeoffry Gordon ·
It is really challenging to understand the vociferous rejection of powerful, effective, well proven medical therapies like vaccines even when your children are thus made vulnerable and even when people around you are getting ill and even dying. This obviously not a logical, rational process. Medicine and public health are to be faulted for trying to motivate a change in these attitudes by just repeating established clinical data. This post has a cogent and interesting analysis which adds to...
Blog Post

Need to fund your resilience initiative? Here’s how.

Carey Sipp ·
Chart is sample page from county-by-county funding allocated as part of ARPA. Information is available by clicking here. This is the first of several articles on the importance of any resilience-focused entity, including your PACEs Connection community, seeking out the people in your area allocating ARPA funding and asking for money. Organizations do not necessarily have to be 501 C-3 nonprofits to receive funding. Thanks to federal American Rescue Plan Act (ARPA) funding to states in April...
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Adverse Childhood Experiences, the Brain, and Sleep

Dr. Glenn Schiraldi ·
Sufficient, good quality sleep strengthens the brain wounded by ACEs in many ways. Intelligent sleep strategies improve mood, brain (and medical) health, brain function, and the capacity to rewire negative neural pathways imprinted in childhood.
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Vital Signs: Drug Overdose Deaths, by Selected Sociodemographic and Social Determinants of Health Characteristics — 25 States and the District of Columbia, 2019–2020 (cdc.gov)

Summary What is already known about this topic? Drug overdose deaths increased 30% in the United States from 2019 to 2020. Known health disparities exist in overdose mortality rates, particularly among certain racial/ethnic minority populations. What is added by this report? From 2019 to 2020, overdose death rates increased by 44% and 39% among non-Hispanic Black (Black) and non-Hispanic American Indian or Alaska Native persons, respectively. As county-level income inequality increased,...
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How to Decolonize Mental Health Treatment for BIPOC (yesmagazine.org)

Illustration by GOOD STUDIO / ADOBE STOCK Author Gabe Torres / Yes Magazine / 7.28.22 How to Decolonize Mental Health Treatment for BIPOC Note: Whenever you read the terms BIPOC (Black, Indigenous, and people of color), racialized people, and racially marginalized, I mean them synonymously while understanding the distinctiveness of experiences and respective identities of racially oppressed peoples. Whenever I refer to BIPOC, I refer to us as “we,” because I, the writer, identify as a person...
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7 of the Most Outrageous Medical Treatments in History (history.com)

Advertisement for Cocaine Toothache Drops,1890. Courtesy National Library of Medicine. (Credit: Smith Collection/Getty Images). Author: Brynn Holland's article, please click here. Why were parents giving their children heroin in the 1880s? 2. Cocaine—The Wonder Drug Around the mid 1880s, scientists were able to isolate the active ingredient of the coca leaf, Erythroxylon coca (later known as cocaine). Pharmaceutical companies loved this new, fast-acting and relatively-inexpensive stimulant.
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Re: Why Are So Many Women Suddenly Being Diagnosed With ADHD? (refinery29.com)

Jeoffry Gordon ·
Everyone should read Dr. Ahsan's essay. Its perspective on the cultural, societal, and political causes of mental distress is eye-opening, insightful and very pertinent. She echoes the iconoclastic views of R.D. Liang 50 years ago, another open-minded Brit. As she says " The diagnosis of individual 'mental disorder' can make us believe there’s something wrong with us rather than the world around us, and that healing happens in isolation." This is true in many but by no means all cases. Like...
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How to Help Survivors of Extreme Climate Events (psychologytoday.com)

Carey Sipp ·
By Elaine Miller-Karas MSW, LCSW Building Resiliency to Trauma Psychology Today, September 30, 2022 Mental health can suffer after extreme climate events. KEY POINTS Mental health conditions exacerbated by natural disasters include post-traumatic stress disorder, depression, and anxiety. After a disaster, the number of people needing assistance from the mental health systems strains or exceeds community capacity. There are simple strategies helpers can use to help survivors restore...
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Moving Forward After Adverse Childhood Experiences, Part 2: Harness the Liberating Power of Forgiveness

Dr. Glenn Schiraldi ·
The well-timed choice to forgive deep injuries from childhood, though difficult, can greatly improve psychological wellbeing and free us to move ahead. Four keys to forgiveness lay the foundation for cultivating healing forgiveness skills.
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Paying for mental health care leaves families in debt and isolated (npr.org)

Image: Jesse Zhang for NPR and KHN Author: To read Yuki Noguchi's article, please click here. Untold numbers of families like Rachel's are dealing with myriad challenges finding and paying for mental health care, and then ending up in debt. There are too few therapists and psychologists in the U.S. — and fewer still who provide treatment paid for by insurance. That compounds the financial toll on families. Tabulating the impact isn't easy. Many do what Rachel did: They refinance their house,...
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MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
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Lightening the Load We Carry from Childhood: 10 Ways to Forgive the Unkindest Cuts

Dr. Glenn Schiraldi ·
While the process of forgiving painful offenses from childhood can be very difficult, efforts to forgive bring great rewards. The process begins with acknowledging the pain, applying self-compassion, and taking even small and faltering steps to get the forgiveness ball rolling.
Blog Post

MEDICAL and ACADEMIC NARROWMINDEDNESS BLOCK PROGRESS

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN) I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine” (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the...
Blog Post

Medical and academic narrowmindedness block progress

Jeoffry Gordon ·
As a clinician, researcher and policy specialist devoted to the prevention and treatment of the ill effects of child abuse and neglect (CAN), I read “Recommendations for Population-Based Applications of the Adverse Childhood Experiences Study: Position Statement by the American College of Preventive Medicine”, a position statement by the American College of Preventive medicine, with dismay . (Sherin KM, Stillerman A, Chandrasekar L, Went N, Niebuhr DW. Recommendations for Population-Based...
Blog Post

Jeoff Gordon sees PACEs science, PACEs Connection playing a vital role in ‘relieving some of the most anguishing pain in our society.’

Carey Sipp ·
Note: PACEs Connection is in dire financial straits. We are asking for support, from you, our 57,586 members, to help cover the loss of foundation funding that was promised and did not come through. Pay and hours have been cut for our staff—most of us will be laid off for the month of December. Another grant will pick up in January, but we will still be underfunded. Since sounding the alarm this summer, we’ve raised about $26,000 . Thankfully, about 25% of new donors are making monthly...
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California Set to Become First State in Nation to Expand Medicaid Services for Justice-Involved Individuals (DHCS)

SACRAMENTO – California today became the first state in the nation to offer a targeted set of Medicaid (Medi-Cal in California) services to youth and adults in state prisons, county jails, and youth correctional facilities for up to 90 days prior to release. Currently, Medi-Cal services are generally available only after release from incarceration. Through a federal Medicaid 1115 demonstration waiver, the Department of Health Care Services (DHCS) will establish a coordinated community...
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Bouncing Forward After Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
Once the healing of hidden wounds from adverse childhood experiences has sufficiently progressed, attention can turn to developing a richly satisfying future. Your innate inner strengths, experiences, and acquired skills will help rewire your brain for a brighter future.
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North Carolina moves closer to creating nation's first ACEs-informed courts system

Carey Sipp ·
(l-r) Judge J. Corpening; Ben David, district attorney, New Hanover County; Chief Justice Paul Newby; Judge Andrew Heath, executive director, Administrative Office of the Courts of the Chief Justice's ACEs Informed Courts Task Force. David and Heath serve as Task Force co-chairs . “There is not any more important work going on in the State of North Carolina,” said Ben David, District Attorney for New Hanover County and co-chair of the Chief Justice’s ACEs-Informed Task Force . The Task force...
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A Promising Treatment for Hidden Wounds from ACEs

Dr. Glenn Schiraldi ·
Accelerated Resolution Therapy (ART) is an emerging trauma therapy for the hidden wounds resulting from Adverse Childhood Experiences. Research to date shows ART for traumatized adults is quick, effective, safe, and well-tolerated. Consistent with new understanding of the brain and body-centered treatment approaches, ART primarily targets trauma images and associated physical and emotional sensations, creatively and efficiently using eye movements and strategies from other trauma treatments.
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How much would the NAS poverty reduction packages reduce referrals to CPS and foster care placements? Would they reduce racial disproportionality in child welfare? (nasonline.org).

Carey Sipp ·
Because of a collaboration with Columbia University and UW-Madison, we have answers to these questions. By Peter Peter Pecora, Casey Family Programs, March 17, 2023 - Overview The National Academy of Sciences (NAS) recently released a “ roadmap ” to reduce child poverty by as much as half through the implementation of a series of social policy packages. The aim of this study was to simulate the reductions in Child Protective Services (CPS) involvement and foster care placements that are...
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Register Now for Inaugural Statewide Summit: Leveraging North Carolina’s Assets to Prevent Childhood Trauma — Virtually & In Raleigh April 27-28!

Carey Sipp ·
Information from Summit Brochure and registration site available here . North Carolina’s first Statewide Trauma Summit – a virtual and in-person summit – will beheld Thursday and Friday, April 27-28, in Raleigh, at The McKimmon Conference and Training Center, Summit leaders announced recently. “Momentum is growing in NC for building trauma-informed systems that strengthen resilience and weed out systemic and often intergenerational sources of child trauma. To advance this work, it is...
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A Letter to Kyle

Neha Khanna ·
To mark the anniversary of the passage of the landmark legislation of the Georgia Mental Health Parity Act, we are sharing a letter written a year ago by Roland Behm, Co-founder of the Georgia Mental Health Policy Partnership, Board Member and Former Board Chair, American Foundation for Suicide Prevention (AFSP) Georgia Chapter. The letter is to his son, Kyle, who was diagnosed with bipolar disorder in 2010 as a junior in college and died by suicide in August 2019.
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How The Physician Shortage Is Impacting Children With ACEs

Charlie Fletcher ·
All children need a secure, safe, and stable environment as they grow up. Young kids must have the care and support they need to aid in their development. But children with adverse childhood experiences (ACEs) are especially prone to struggling as they age if they don’t have stability. While stability and support can come from a child’s housing situation and those who raise them, they also need quality care from the doctors in their lives. A lack of secure, safe, and stable healthcare for...
Member

Allana Hall

Blog Post

PACEs Research Corner — May 2023, Part 2

Harise Stein ·
[Editor's note: Dr. Harise Stein at Stanford University edits a web site — abuseresearch.info — that focuses on the effects of abuse, and includes research articles on PACEs. Every month, she posts the summaries of the abstracts and links to research articles that address only ACEs, PCEs and PACEs. Thank you, Harise!! — Rafael Maravilla] Domestic Violence – Effects on Children Makris G, Eleftheriades A, Pervanidou P. Early Life Stress, Hormones, and Neurodevelopmental Disorders. Horm Res...
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Better therapy for Asian Americans (knowablemagazine.org)

Psychologists hope that making psychotherapy more relevant for Asian Americans will help to increase their use of mental health services and promote psychological well-being. CREDIT: THUMY PHAN To read more of Diana Kwan's article, please click here . Early in her practice as a clinical psychologist, Janie Hong noticed a troubling trend. With her patients’ permission, Hong had been tracking their progress in therapy — and saw a clear pattern. Compared to her white American patients, her...
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A catatonic woman awakened after 20 years. Her story may change psychiatry. (washingtonpost.com)

Left: April Burrell at 19 as a bridesmaid in a family wedding in 1992. Right: April in 2022 during a family visit after treatment. (Illustration by Chelsea Conrad/The Washington Post; Family Photo; Tim Sorel) To read more of Richard Sima's article, please click here. New research suggests that a subset of patients with psychiatric conditions such as schizophrenia may actually have autoimmune disease that attacks the brain. The young woman was catatonic, stuck at the nurses’ station —...
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Sharpen Eating Disorder Prevention for Physicians

Robyn Hussa Farrell ·
Trauma-informed, disordered eating prevention training for physicians launches in South Carolina after 13 years of collaborative efforts.
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Health Equity and the Social Determinants of Health Are NOT Synonyms

Ellen Fink-Samnick ·
Successful health equity strategies must be inclusive, and focus on all marginalized and minoritized persons and their communities. Any lesser view will continue to yield a faulty health equity equation.
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Key Healing Attitudes for Adverse Childhood Experiences

Dr. Glenn Schiraldi ·
For moving past hidden wounds from childhood, mindset matters. These important attitudes undergird the process of healing from adverse childhood experiences.
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Patient Compliance vs. Adherence: Advancing the Health Equity Mandate

Ellen Fink-Samnick ·
Use of the term “compliance” instead of “adherence” by healthcare regulatory entities and organizations, plus practitioners, health systems and their and employees condones the blaming of patients for poor outcomes. It’s time to change this practice!
Member

Suzanne Frank

Suzanne Frank
Blog Post

Healing the Generations - Historic, Two-Day Event Virtual Event On Trauma, Race, and The Body

lynn waymer ·
Presented by Clifford Beers Community Care Center, the Mashantucket Pequot Tribal Nation and KPJR Films, Healing the Generations is a two-day conference which brings together trauma-informed authors, leaders, and changemakers whose work focuses on resilience, trauma, and anti-racism. REGISTER HERE Collectively, we recognize the health implications that grief, loss, political unrest, and racial trauma have on the human body. We are convinced that in our families, communities, and ancestors,...
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SunnysideFlex: A Web-Based Intervention for Posttraumatic Stress Disorder during Pregnancy

Ellen Goldstein ·
The Trauma Informed Health Education and Research (TIHCER) Collaborative presents, SunnysideFlex: A Web-Based Intervention for Posttraumatic Stress Disorder during Pregnancy Presentation: Posttraumatic stress disorder (PTSD) affects 4-8% of women in the general population during pregnancy, but up to 33% of women from disadvantaged or minoritized communities. Unfortunately, PTSD is rarely detected or treated in obstetric settings. Further, there is a massive shortage of providers trained in...
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Trauma-Informed Competency Set for Undergraduate Medical Education

Ellen Goldstein ·
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
Blog Post

Trauma-Informed Competency Set for Undergraduate Medical Education

Ellen Goldstein ·
The National Collaborative on Trauma-Informed Health Care, Education and Research (TIHCER) presents: Trauma-Informed Competency Set for Undergraduate Medical Education Trauma is nearly universal and a root cause of numerous health and social problems, including 6 of the 10 leading causes of death. Research has substantiated the profound impact of trauma on the brain and body - and why trauma training is critical to the education and practice of health professionals. Yet a critical lag...
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Can I Really Be Happy After a Crummy Childhood? Yes, you can!

Dr. Glenn Schiraldi ·
A difficult past need not define you, nor determine your future. We explore three paths to building a satisfying life after hardship in childhood.
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